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Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support...
Medical
For contractors
Summary
We are currently hiring for a Medical Review Manager to join BlueCross BlueShield of South Carolina. In this role as Medical Review Manager, you will oversee the accurate processing of claims that have been deferred for medical necessity review, ensure compliance...
Medical
Holiday work
Full time
For contractors
Local area
Currently hiring
Monday to Friday
Summary
We are currently hiring for a Medical Reviewer II to join BlueCross BlueShield of South Carolina. In this role as Medical Reviewer II, you will perform medical reviews using clinical/medical information provided by physicians/providers and established criteria/...
Medical
Holiday work
Full time
For contractors
Local area
Currently hiring
Monday to Friday
...software, and solutions for health plans and medical groups.
You're computer-savvy, quick... ...to a flourishing organization as a Chart Retrieval Specialist .
What will you... ...clients for retrospective and prospective reviews.
Experience hands-on fieldwork. Travel...
Medical
Hourly pay
Work experience placement
Remote job
Monday to Friday
$21 per hour
...equipment provided except desk and chair.
Candidates need to be detail oriented, type well, and quick learners.
Job Title: Reviewer I, Medical
Duties:
Performs medical reviews using established criteria sets and/or performs utilization management of professional...
Medical
Full time
Contract work
For contractors
Work from home
Monday to Friday
...and families' needs regardless of their ability to pay or their medical complexity. We are a people first organization whose funds go... ...hospice admission.
Collaborates with PM Nurse Liaison, Utilization Review Nurse, and Patient Service Coordinators to assure visit...
Medical
Full time
Work experience placement
Local area
Shift work
...The Utilization Review Specialist at Rebound Behavioral Health will be responsible for conducting... ...and extensions and inform clinical and medical staff on issues that may impact length of... ...training for staff on documentation or charting requirements, continued stay criteria and...
Medical
Part time
...Job Description
Job Description
Utilization Review Specialist/Behavioral Health Substance Abuse
FLSA Status: Exempt... ...appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner. The Utilization Review...
Medical
Remote job
Full time
Work experience placement
Flexible hours
...process throughout the examination; conducts and participates in the examination. Reads, assesses, and provides feedback regarding reviews completed by other Commercial Examiners to ensure accuracy, consistency and quality of assessments and conclusions
Conducts independent...
Suggested
Holiday work
Work experience placement
Remote job
Work from home
Flexible hours
...Coastal Carolina Hospital, Hilton Head Hospital, the Bluffton Medical Campus and the Bluffton-Okatie Outpatient Center. Coastal Carolina... ...Head Hospital, please visit
RN Utilization Full Time Days Review Position Days
The individual in this position is responsible...
Medical
Full time
...Job Type
Full-time
Description
The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical...
Medical
Full time
Remote job
...for being on the front line, empathetic for patients. At Trident Medical Center our nurses set us apart from any other healthcare... ...for admissions, testing and discharges
You will maintain and review patients’ records including posting tests and examination results...
Medical
Full time
Temporary work
Part time
Relocation bonus
Flexible hours
...financial records.
~Account Reconciliation:
~Conduct regular reviews of patient accounts to identify discrepancies, errors, or... ...based on the analysis of financial reports.
#
Benefits:
~Medical Insurance
~Paid Leave
~Holidays
~401k
~Short Term...
Medical
Holiday work
Temporary work
Description
Do you have the career opportunities as a Medical Technologist you want with your current employer? We have an exciting... ...you to apply for our Medical Technologist opening. We promptly review all applications. Highly qualified candidates will be contacted...
Medical
Permanent employment
Full time
Temporary work
Part time
Flexible hours
Night shift
...proprietary digital care platform, backed by a 50-state affiliated medical group and a US-based patient care center. LifeMD was recently... ...labs and information is completed and available in the patient's chart prior to their appointment
Performing data entry tasks to...
Medical
Holiday work
Permanent employment
Full time
Local area
Remote job
Shift work
Rotating shift
Saturday
...Job Description
Job Description Salary: $50,000-$60,000 BOE
Permit Review Specialist | Ripple Fiber
We are looking for a Permit Review Specialist to join our growing team in Greenville, SC.
About Ripple Fiber
Our mission is to provide access to the...
Local area
...lives through better health!**
**Position Summary:** The Medical Assistant will be responsible for providing administrative... ...collections, vitals, EMR input
+ Conducts pre-visit planning by reviewing patient charts prior to appointment with recent test results and...
Medical
Shift work
Afternoon shift
...Education Loan Repayment Services program office after complete review of the EDRP application.
Qualifications
Basic Requirements:... ...s degree or higher from an accredited college or university in medical laboratory science, medical technology, clinical laboratory...
Medical
Holiday work
Permanent employment
Temporary work
Remote job
Relocation
Shift work
Rotating shift
Monday to Friday
All shifts
$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
Full time
Part time
For contractors
...Job Description Summary
The Certified Medical Assistant provides clinical support to physicians... ...Prepare medication listing for physician. Reviews listing at each visit to ensure accuracy.
Contacts physician offices for charts and referrals and radiology centers for...
Medical
Hourly pay
Shift work